The Prince George's County Health Department (PGCHD) will lead the implementation of a system of care (SOC) for 350 children and youth birth through 21, at risk or with serious emotional disturbances (SED) and their families in Prince George's County Maryland. The proposed SOC will have a special focus on improving the lives of children and youth who are at risk of entering the child welfare and juvenile justice systems. The majority (85%) of the target population are Black, non-Hispanics or Hispanic. PGCHD key partners include the County's Department of Social Services (DSS) and the Department of Juvenile Services (DJS) respectively; the National Alliance on Mental Illness of Prince George's County (NAMI PGC); Maryland Coalition of Families (MCF), a family-led behavioral health advocacy non-profit Prince George's County Public Schools (PGCPS); the Local Care Team (LCT); Maryland Family Resources Inc. (MFR); Synergy Family Services (SFS) and a collaboration of child-serving agencies and advocates. SOC implementation strategies include training, coaching and Technical Assistance in evidence-based trauma and grief-informed behavioral health interventions for providers; case management, respite care and peer support for children and families; referral and linkage to substance use treatment and services that mitigate the social determinants of health; promoting the integration of behavioral health and primary care through a mental health in pediatrics approach; expanding access to services via telehealth; and building youth and family advocacy capacity through engagement at all levels of the SOC operation.
The Goals to be achieved by 9/29/2027 are:
Goal 1: Enact local policies that mandate children, youth and family-guided input, service integration and coordination, cultural and linguistic competence, and linkage to health care reform to improve accessibility and availability of services for the target population.
Goal 2: Develop and implement community-wide education and messaging to reduce stigma about getting help for mental health and co-occurring SUD.
Goal 3: Increase the competency and capacity of local behavioral, health, education, and social service providers to deliver programming that addresses the needs of the target population.
Goal 4: Increase children, youth, and family representation and input on the design, development, and implementation of services that target them.
Goal 5: Increase provider capacity to serve children ages 0-6 and their families through the implementation of an early childhood EBP.
The outcomes the SOC will achieve by 9/29/2027 are:
1. At least 150 individuals will be reached through outreach, and the number encountered through outreach will increase 25% in each subsequent year of the project.
2. 100% of funded providers will have at least one youth or family member actively serving as a representative around SOC policies, programs and services.
3. At least two partnering outpatient behavioral health providers will be trained on evidence-based interventions for the target population,
4. After the first year of the project, the number of providers participating in the SOC referral pathways will increase by 15% annually.
5. 50% of referred children and youth will enroll in culturally and linguistically appropriate mental health services.
6. The number of children, youth and families receiving evidence-based grief and trauma-informed services will increase by 100% in the second year.
7. 75% of children and youth enrolled in services will report being in safe and stable homes.
8. The number of children ages 0-6 at risk for or with SED and their families will receive age and clinically appropriate EBP services.
9. 75% of children and youth enrolled in services will report fewer behavioral problems.